| NPI | 1386231009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: GA 3258) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004122) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |